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Individual

KAYLA MARIE SPAULDING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1 S BRYANT AVE, EDMOND, OK 73034-6309
(405) 314-6100
Mailing address
1513 WASHINGTON ST, EDMOND, OK 73034-4906
(580) 830-0480

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0115807
OK
367500000X
Certified Registered Nurse Anesthetist
Primary
143217
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
143217
CRNA CERTIFICATION
01
220749
APRN-CRNA LICENSE
OK
01
R0115807
RN LICENSE
OK
Enumeration date
02/17/2023
Last updated
12/10/2024
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